Organization
ANGEL HOUSE BEREAVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SOWELL MONTFORD LCSW (PRESIDENT AND EXECUTIVE DIRECTOR)
(850) 257-5036
Entity
Organization
Contact information
Practice address
1015 GRACE AVE, UNIT C, PANAMA CITY, FL 32401-2494
(850) 257-5036
Mailing address
1015 GRACE AVE, UNIT C, PANAMA CITY, FL 32401-2494
(850) 257-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
02/07/2018
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